Association Between Meniere Disease and Migraine

Abstract

Importance: A connection between Meniere disease (MD) and migraine has been proposed, but the temporal association remains unknown.

Objective: To examine the bidirectional association of MD with migraine.

Design, setting, and participants: This case-control study included participants 40 years or older from the Korean National Health Insurance Service Health Screening Cohort from 2002 to 2015.

Main outcomes and measures: A total of 6919 patients with MD were matched with 27 676 control participants without MD for age, sex, income, region of residence, and index date. The incidence of migraine was analyzed in the MD and matched groups using a stratified Cox proportional hazard regression model. In addition, 35 889 patients with migraine were matched with 71 778 control participants without migraine. The incidence of MD was analyzed using a stratified Cox proportional hazard regression model.

Results: Of 142 262 total participants, 94 611 (66.5%) were women. Migraine occurred in 695 of 6919 patients with MD (10.0%) and 970 of 27 676 matched control participants (3.5%). The MD group demonstrated a 2.22-fold higher risk of migraine than the matched control group (95% CI, 1.99-2.49). Meniere disease was present in 1098 of 35 889 patients with migraine (3.1%) and 781 of 71 778 matched control participants (1.1%). The migraine group had a 1.95-fold higher risk of MD than the matched control group (95% CI, 1.77-2.15).

Conclusions and relevance: The results of this case-control study suggest that patients with MD had a greater risk of migraine occurrence. Furthermore, patients with migraine had a higher risk of MD. Based on the bidirectional association, therapeutics for migraine could potentially be applied to MD and vice versa.

Figure.. Study Design

A, In total, 6919 participants with Meniere disease (MD) and 27 676 matched control participants were enrolled. B, In total, 35 889 participants with migraine and 71 778 matched control participants were enrolled. Analyses using stratified Cox proportional hazard regression model. Adjustment: age, sex, income, region of residence, obesity, smoking, alcohol consumption, systolic blood pressure, diastolic blood pressure, fasting blood glucose level, total cholesterol level, benign paroxysmal vertigo, vestibular neuronitis, other peripheral vertigo, and Charlson Comorbidity Index scores.